Page 166 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 113.76 $ 109.21 $ 107.17 $ 105.27 $ 105.08 $ 104.58 $ 102.50 $ 101.79 $ 101.34 $ 99.46 $ 97.81 $ 97.62 $ 97.10 $ 95.56 $ 90.43 $ 88.01 $ 87.72 $ 84.37 $ 81.00 $ 78.47 $ 77.28

Unit
X Cost $ 56.88 $ 10.92 $ 10.72 $ 17.54 $ 3.89 $ 52.29 $181.10 $ 25.45 $ 9.21 $ 9.95 $ 3.76 $ 16.27 $ 19.42 $ 23.89 $ 1.88 $112.40 $ 21.93 $ 5.62 $ 27.00 $ 78.47 $ 5.52

Package Cost

W $ 113.76 $ 273.01 $ 32.15 $ 438.61 $ 97.30 $ 52.29 $ 181.10 $ 254.48 $ 552.78 $ 99.46 $ 37.62 $ 178.98 $ 194.20 $ 95.56 $ 188.39 $ 112.40 $ 548.22 $ 56.24 $ 27.00 $ 470.84 $ 165.60

V SOURCE MIS NADAC 7300018868 7300010023 7300008680 7300008694 7300010747 7300011120 7300000970 7300011057 7300010147 7300008693 7300019546 7300005064 7300009520 7300004582 7300011465 7300008688 7300005650 MIS NADAC MIS NADAC 7300007921

28100000-OPIATE ANTAGONISTS BETA-ADRENERGIC 08121292-OTHER MACROLIDE 52402000-MIOTICS LONG-ACTING 28129200- REMOVING AGENTS REMOVING AGENTS 28240800- BENZODIAZEPINES 28080800-OPIATE AGONISTS RAPID-ACTING 28160824- PHENOTHIAZINES ANTIPSYCHOTIC AGENTS 28100000-OPIATE ANTAGONISTS UNKNOWN 28160420- SELECTIVE

U AHFS 12121200-ALPHA- AND 68040000-ADRENALS 68040000-ADRENALS 68200816-INSULINS, 28121200-HYDANTOINS ANTICONVULSANTS, 40181800-POTASSIUM- 68040000-ADRENALS 40181800-POTASSIUM- 28089200-ANALGESICS AND ANTIPYRETICS, 68200804-INSULINS, 0 - AHFS CATEGORY 92120000-ANTIDOTES ANTIDEPRESSANTS

DEA
T CLAS S V IV II

S GENER IC CODE 40233 26184 48790 27354 28143 32706 13072 99385 14338 41955 44774 45092 70742 5679 14331 45132 7191 16374

MANUFACTURER Inc.

R Adapt Pharma Inc Par Pharmaceutical Companies, Inc. Pfizer Laboratories Div Pfizer Inc Mylan Institutional Inc. Pharmacia and Upjohn Company LLC Alcon Laboratories, Inc. Sanofi-Aventis U.S. LLC Pfizer Laboratories Div Pfizer Inc CMP Pharma, Inc. Sagent Pharmaceuticals AstraZeneca Pharmaceuticals LP Hospira, Inc. Paddock Laboratories, LLC Pharmaceutical Associates, Inc. Eli Lilly and Company Hikma Pharmaceuticals USA Inc. Hospira, CAGLUG Baxter Healthcare Corporation Roerig

DOSE FORM OPHTHALMIC TABLET, FILM UCB, Inc. TABLET, FILM

Q NASAL SPRAY INTRAMUSCU LAR; ORAL POWDER, INTRA- ARTICULAR; INTRALESION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, SOLUTION, DROPS SUBCUTANE OUS INJECTION, INTRAMUSCU LAR/INTRAVE NOUS ORAL ORAL; RECTAL SUSPENSION INTRAMUSCU LAR/INTRAVE NOUS INJECTION, ORAL POWDER, FOR INTRAMUSCU LAR/INTRAVE RECTAL SUPPOSITOR ORAL SOLUTION INTRAVENOU S; SUBCUTANE INTRAMUSCU LAR INJECTION INTRAMUSCU LAR/INTRAVE NOUS; GEL INTRAMUSCU LAR; ORAL COATED

SIZE Y
P TXT

UOI
O SIZE

PACK AGE 2 1 3 30 1 15 10 10 60 60 1 11 2 4 20.3 10 1 1 25 6 30
N SIZE

M STRENG TH 4mg/.1mL 1mg/mL 1g/1 4mg/mL 125mg/2 mL 20mg/mL 100[iU]/m L 50mg/mL 50mg/1 15g/60mL 40mg/mL 5g/5g 5mg/mL 16.2mg/1; 60mg/1 160mg/5 mL 100[iU]/m L 25mg/mL 0.4mg/mL 2.5% 1g/20mL 50mg/1

L GENERIC NALOXONE HYDROCHL ORIDE EPINEPHRI NE AZITHROMY CIN DEXAMETH ASONE SODIUM METHYLPR EDNISOLON E SODIUM SUCCINATE PILOCARPI NE HYDROCHL INSULIN GLARGINE FOSPHENY TOIN SODIUM LACOSAMID E SODIUM POLYSTYR ENE METHYLPR EDNISOLON E SODIUM SUCCINATE SODIUM ZIRCONIUM CYCLOSILI DIAZEPAM ATROPA BELLADON NA; OPIUM ACETAMIN OPHEN INSULIN LISPRO CHLORPRO MAZINE HYDROCHL ORIDE NALOXONE HYDROCHL ORIDE CALCIUM GLUCONAT E PRALIDOXI ME SERTRALIN E HYDROCHL

K TRADE NARCAN ADRENALIN ZITHROMAX DEXAMETH ASONE SODIUM SOLU- MEDROL ISOPTO CARPINE LANTUS CEREBYX VIMPAT SODIUM POLYSTYR ENE METHYLPR EDNISOLON E SODIUM SUCCINATE LOKELMA DIAZEPAM BELLADON NA AND OPIUM ACETAMINO PHEN HUMALOG CHLORPRO MAZINE HYDROCHL ORIDE NALOXONE HYDROCHL ORIDE CALCIUM GLUCONAT E DSHP PROTOPAM CHLORIDE ZOLOFT

J MERIDIAN DESC 4mg/0.1ml SPIN 2 2 EPINEPHRINE 1mg/Ml SDV package size 1 AZITHROMYCIN 1gm PCKT package size 3 DEXAMETHASONE SOD PHOS 4mg/Ml MDV package size 30 METHYLPREDNISOLO NE SOD SUCC 125mg PWVL package size 1 divisor 25 PILOCARPINE HCL 0.02 DROP package size 15 divisor 1 INSULIN GLARGINE 100u/Ml MDV package size 10 divisor 1 FOSPHENYTOIN SODIUM 50mg Pe/Ml SDV package size 10 LACOSAMIDE 50mg TABS package size 60 SODIUM POLYSTYRENE SULFONATE METHYLPREDNISOLO NE SOD SUCC 40mg PWVL package size 1 divisor 10 SODIUM ZIRCONIUM CYCLOSILICATE 5gm PCKT package size 11 DIAZEPAM 5mg/Ml CARP package size 2 OPIUM/B

Med Desc EPINEPHrine VIAL (Adrenalin) 1 mg/1 (ZITHROmax) 1 dexamethasone sodium phosphate (Decadron) 4 mg/1 methylPREDNISolon e sodium succinate mg/2 mL Injection pilocarpine HCI 2% (Pilocar) (300 drop) insulin glargine (Lantus) 1 unit/0.01 mL (0.01 mL) Units fosphenytoin PE (cereBYX) 500 mg/10 mL (10 mL) lacosamide (Vimpat) sodium polystyrene (Kayexalate) 15 methylPREDNISolon e sodium succinate (Solu-MEDROL) 40 mg/1 mL Injection sodium zirconium (Lokelma) 5 gm DIAZepam (Valium) 10 mg/2 mL Injection belladonna-opium #16-A (16.2 mg-60 mg) (B&O #16 A) acetaminophen (HumaLOG) 1 unit/0.01 mL (0.01 chlorproMA

I naloxone (Narcan) (1 NALOXONE HCL (Solu-MEDROL) 125 calcium gluconate 25
kits) Kit azithromycin Ophth Soln 50 mg Tab sulfonate cyclosilicate (Tylenol) 650 insulin lispro mL Amp/Vial 0.4 mg/1 mL Injection (1 APP) Tube

Alert
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